Terry Cicero, CRNA | |
12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 | |
(425) 353-3788 | |
(425) 353-8041 |
Full Name | Terry Cicero |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 12333 Ne 130th Lane, Kirkland, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699875005 | NPI | - | NPPES |
9607011 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN00055726 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Terry Cicero, CRNA Po Box 94181, Seattle, WA 98124-6481 Ph: (425) 353-3788 | Terry Cicero, CRNA 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 Ph: (425) 353-3788 |
Deborah S Gaston, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 Phone: 425-353-3788 Fax: 425-353-8041 | |
David A Boehne, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 Phone: 425-353-3788 Fax: 425-353-8041 |